Philip Steven Gura, D.C.
Individual provider Active NPI Sports Physician Chiropractor · East Rockaway, NY
NPI 1104914191 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104914191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sports Physician Chiropractor 111NS0005X
- License
- X005605-1 (NY)
- Practice address
- 559 Atlantic Ave
East Rockaway, NY 11518-1530 - Phone
- (516) 593-8333
- Fax
- (516) 593-8344
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
559 Atlantic Ave
East Rockaway, NY 11518-1530
Phone (516) 593-8333
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040719000948 | NY | Practitioner - Chiropractic | 2769461177 | Practice locations: East Rockaway, NY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X005605-1 | NY | MD | Sports Physician Chiropractor |
| 005605 | NY | MD | Optician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | X005605-1 | NY | Yes |
Addresses
Primary practice location
559 Atlantic Ave
East Rockaway, NY 11518-1530
Mailing address
559 Atlantic Ave
East Rockaway, NY 11518-1530
Phone (516) 593-8333
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00123334 | Other | PALMETTO GBA | |
| P3204341 | Other | OXFORD HEALTH PLANS | |
| X6F91 | Other | NY | BLUE CROSS BLUESHIELD |
| 808342 | Other | NY | MANAGED PHYSICAL NETWORK |
| 5897788 | Other | NY | GHI |
| C05605-3 | Other | NY | WORKERS COMPENSATION |
Other providers in East Rockaway, NY
- Brooke Giorlando
- Berel Gold
- Yael Shoshana Goller
- Danielle Suzanne Goodwin
- Leo S Gray
- Zivi Hahami
- Jessica A Harrison
- Jessica Laura Hettler
- Leon Hodes
- Incorporated Village of East Rockaway
All providers in East Rockaway, NY · Sports Physician Chiropractor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.